The Fundamentals of Traumatic Brain Injury (TBI)

The Fundamentals of Traumatic Brain Injury (TBI) 

What is a TBI and what effects does it have on individuals, their families, and the behavioral healthcare providers who serve them? Following the wars in Iraq and Afghanistan, thousands of Service members, civilian contractors, and even reporters sustained traumatic brain injuries (TBI) due to Improvised Explosive Devices (IEDs) and other blasts. This course is intended for any behavioral healthcare provider interested in gaining competency in working with Military-connected individuals who have sustained a TBI. It covers information regarding the mechanisms, warning signs, severity levels, and best practices for working with people who have sustained a TBI. A blend of instructive information and interactive vignettes provide you the tools you need to apply concepts you learn. DSM™ and DSM-5™ are registered trademarks of the American Psychiatric Association. The American Psychiatric Association is not affiliated with nor endorses this course.

$30.00

Hours: 1.50
REL-HHS-CDP-FTBI-V2

Certificates

Certificates provided by accrediting body (14 Match)

American Psychological Association

1.5 HOURS


Relias, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Relias, LLC maintains responsibility for this program and its content.

California Board of Registered Nursing

1.5 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.50 contact hours for participating in this course.

District of Columbia Board of Nursing

1.5 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.50 contact hours for participating in this course.

Florida Board of Nursing

1.5 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

American Nurses Credentialing Center

1.5 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.50 contact hours for participating in this course.

Florida Board of Psychology

1.5 HOURS


Georgia Board of Nursing

1.5 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

Accreditation Council for Continuing Medical Education

1.5 HOURS


Relias LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Relias LLC designates this enduring material activity for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

South Carolina Board of Nursing

1.5 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Florida Board of Medicine

1.5 HOURS


Florida Board of Medicine CE Provider #: 50-290

Florida Physician Assistants

1.5 HOURS


Oklahoma Licensed Professional Counselors

1.5 HOURS


This activity is approved for 1.50 contact hours.

Oklahoma Licensed Marriage and Family Therapists

1.5 HOURS


This activity is approved for 1.50 contact hours.

West Virginia Board of Registered Nursing

1.5 HOURS


Course Details

Course Code: REL-HHS-CDP-FTBI-V2
Hours: 1.5
Type: Online Course
Content Expiration Date: 10/31/2020
Learning Objectives:
Identify the warning signs, symptoms, severity levels, and prevalence of TBI.
Describe the most appropriate tools to help individuals who have sustained mild or more severe TBI.
Distinguish TBI from other comorbid conditions to assist with treatment planning.
Summarize the most recent literature findings and treatment strategies available for individuals with TBI.

Outline:
Section 1: Introduction
About This Course
Learning Objectives

Section 2: TBI Basics
Meet Rob
Six Months Later
Rob’s Traumatic Brain Injury
What Is a Traumatic Brain Injury?
Severity Classification
Severity Classification
Epidemiology of TBI
Additional Facts Regarding TBI
What Causes TBI/Concussion?
Mechanisms of Injury
Closed vs. Penetrating TBI
Major or Mild Neurocognitive Disorder (NCD) Due to Traumatic Brain Injury
Review
Summary

Section 3: Combat-Related TBI
What Is Combat-Related TBI?
Impact of Modern Warfare
Incidence of TBI in Military Population
Incidence of TBI in Military Population
Blast Injuries
Blast Injuries: Further Complications
Meet Staff Sergeant Johnson
Staff Sergeant Johnson’s Deployment
Blast Point
Review
Summary

Section 4: Manifestations of TBI
Temporal Course of Symptoms
Initial vs. Later Symptoms of Concussion (mTBI)
Post-concussive Symptoms
Post-concussive Syndrome (PCS)/Persistent Post-concussive Syndrome (PPCS)
PCS Factors
Diagnostic Criteria for NCD due to TBI
Cognitive Presentation
Revisiting Rob
Review
Summary

Section 5: TBI Evaluation
Assessing TBI
Physical Exam and History
Neurological Imaging
Screenings
MACE
PDHA/PDHRA
Neuropsychological Testing
Benefits of Neuropsychological Evaluation
What to Consider Before Evaluation
Remember SSG Johnson?
More about SSG Johnson
What Should SSG Johnson Do?
At His Next Evaluation, 24 Hours Later…
Summarizing SSG Johnson’s Symptoms
Back at the FOB
Summary

Section 6: Symptom Overlap and Differential Diagnosis
Symptom Overlap
TBI and PTSD
Distinct and Shared Symptoms
TBI and PTSD
Neurobiological Underpinnings
TBI and Depression
Differential Diagnosis and Co-morbid Disorders
Remember SSG Johnson?
Remember SSG Johnson?
Review
Summary

Section 7: Recovery
Conceptualizing Recovery
Concussion/mTBI
Moderate/Severe TBI
Recovery Overview
Best Practices
Additional Ways to Help
Patient Education
Patient Education – Prevention
Review
Summary

Section 8: Additional Treatment Options
Symptom Management
Stress Management
Concussion Coach
Cognitive Rehabilitation
Compensatory Cognitive Training
Quick Check
Veterans’ In-Home Program (VIP)
VIP Phases
VIP In Action
Treatment: Moderate - Severe TBI
Needs and Services for Moderate - Severe TBI
Quick Check
Community Integration and Long-Term Recovery
Treatment for Comorbid Conditions
Further Evaluating SSG Johnson
Further Evaluating SSG Johnson
Six Months Later
Another Six Months Later
Review
Summary

Section 9: Conclusion
Summary
Course Contributors
Resources
References
Congratulations!
Exam
BrainSparks

Expert Reviewer: Jenna Ermold, Ph.D.
Jenna Ermold, Ph.D. is a clinical psychologist working as the Assistant Director of Online Programs for the Center for Deployment Psychology at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. In this capacity, she oversees the development and dissemination of online training programs for behavioral health clinicians to improve competency in working with military members and their families. Additionally, she develops and presents workshops across the country to military and civilian audiences on topics in deployment behavioral health and evidence-based therapies for PTSD. She is a graduate of the Malcolm Grow (USAF) Medical Center Psychology Residency Program and served on active duty as a psychology in the United States Air Force from 2002 to 2006. Dr. Ermold graduated from Middlebury College with a degree in psychology and English and received her doctorate in clinical psychology from the University of Vermont. She specializes in health psychology, behavioral health integration into primary care, women's reproductive behavioral health, post-traumatic stress disorder, and military psychology.  Disclosure: Jenna Ermold, Ph.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: William Brim, Psy.D.
William Brim, Psy.D., is a clinical psychologist and Associate Professor at the Uniformed Services University of the Health Sciences. He has been with the Center for Deployment Psychology since 2007, initially as a Deployment Behavioral Health Psychologist at Malcolm Grow (USAF) Medical Center and serving as the Deputy Director since 2008. He is a graduate of the University of Tennessee (Psychology) and has his Master's and Doctorate in Clinical Psychology from Nova Southeastern University in Fort Lauderdale, FL (1998). He is a graduate of the Wilford Hall (USAF) Medical Center Psychology Residency Program (1998) and the Wilford Hall Clinical Health Psychology Post-doctoral Fellowship Program (2001). Dr. Brim served on Active Duty as a psychologist in the United States Air Force from 1997 to 2007. Disclosure: William Brim, Psy.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Naju Madra, M.A.

Naju Madra, M.A. is an internal subject matter expert and clinical content writer for Relias' Behavioral Healthcare library. She earned her Master's degree in Psychology with specific study in neuropsychological assessment for children with Fetal Alcohol Spectrum Disorders. She brings with her a wealth of experience in clinical assessment, along with expertise in large-scale clinical research project management, recruitment, training, as well as in-person and web-based curriculum development.

In addition to scholarly activities such as writing manuals and preparing manuscripts for peer-reviewed journals, Ms. Madra has over 15 years of behavioral healthcare experience ranging from crisis counseling and job coaching for individuals with severe mental illness and co-occurring disorders, to community college instruction, and trauma specialist at the Veterans Health Administration. In her current role, Ms. Madra has contributed authorship to over 100 behavioral healthcare course offerings for both licensed and non-licensed professionals in the Health & Human Services market.

Disclosure: Naju Madra, M.A. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Carin Lefkowitz, Psy.D.
Carin Lefkowitz, Psy.D. is a clinical psychologist and Cognitive Behavior Therapy Trainer at the Center for Deployment Psychology. Her areas of interest are the evidence-based assessment and treatment of PTSD and insomnia. She delivers workshops and consultation on these and other topics related to post-deployment mental health. Dr. Lefkowitz is a graduate of New York University (Psychology, Sociology) and earned her Master’s and Doctorate in Clinical Psychology from Widener University (2005) with a concentration in cognitive-behavioral therapy. Prior to joining CDP, Dr. Lefkowitz was a Staff Psychologist at the Corporal Michael J. Crescenz VA Medical Center (Philadelphia). Disclosure: Carin Lefkowitz, Psy.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry and intermediate level Psychologists; intermediate and advanced level Nurses; in the following settings: Acute Care Facility, Health and Human Services, Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.